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TEACHER TRAINING APPLICATION

Please complete this application online or print it out
and fax it to 212. 627.2251

Please register me for:
4-week Summer 2008 Program
3-month Fall 2008 Program

Personal Information
Name:
Date of Birth:
Address:
Address line2:
City:
State:
Country:
Zip/Postal Code:
Phone Number:
Email Address:
Emergency Contact Name:
Emergency Contact Phone:

About You

What style of yoga do you practice?
Where?
With whom?
For how long?
How many times a week?
Do you have a home practice?
Do you practice meditation and/or pranayama?
Please tell us about your health: injuries, conditions, illnessess
Please list any medications you are taking
Are you pregnant?
Is this your first teacher training?
Are you currently teaching yoga?
If yes, where?
For how long?
In your opinion what embodies a good yoga teacher?
Why do you want to take the joschi teacher training?
What are your expectations of the joschi teacher training?
What do you hope to learn?

Registration and Credit Card Authorization Agreement
I understand Joschi Yoga Institue will review my application and notify me of acceptance as soon as possible.

Payment Plan
Application Date Tuition Payment Plan
At least 2 months
prior to start date
$2,250
SAVE $300
$1000 on acceptance date
$650 1 month before start date
$600 15 days before start date
At least 1 month
prior to start date
$2,350
SAVE $200
$1,500 on acceptance date
$850 15 days before start date
Thereafter $2,550 on acceptance date

Enjoy UNLIMITED YOGA CLASSES during the duration of your Teacher Training program.

Credit Card Information

Credit Card Type:
Name on Card:
Credit Card Number:
Expiration Date: Month   Year
Billing Address:
By clicking YES below I authorize Joschi International, Inc. to initiate credit card debit entries for tuition payment according to the schedule set forth above. I further understand and agree that each payment is non-refundable.
Yes No


Joschi Yoga Institute
163 West 23rd Street
5th Floor
New York, NY 10011

Telephone and Fax
phone: 212.399.6307
fax: 212.627.2251

email:
info@joschinyc.com